Aging and sexuality: how much do gynecologists know and care?

Enhanced knowledge and healthy attitudes toward aging sexuality can help promote the perception that full sexual expression is part of the entire extent of adulthood. We sought to determine gynecologists' knowledge and attitude regarding sexuality in older women. A total of 141 gynecologists in five hospitals responded to the survey: Aging Sexual Attitude and Knowledge Scale (ASKAS). No correlation was found between respondents' knowledge and attitude (r = .06, p = .54); no correlation found between respondents' age and knowledge (r = .20, p = .02), but 20% of the variance in attitude could be explained by age (beta 0.20, p = .02). Neither gender, ethnicity, level of training, nor hospital location demonstrated a significant correlation to either knowledge or attitude scores.     

Intended and Ideal Family Size in the United States, 1970–2002

Cross‐nationally, observed fertility is well below mean levels of reported ideal family size and also usually well below survey respondents' fertility desires and intentions. The United States is an exception. In this article we: (1) discuss the importance of fertility ideals and intentions for understanding observed fertility levels, (2) propose a model that can account for variable attitude‐behavior consistency, and (3) use this model as a framework to examine trends in American women's fertility ideals, intentions, and actual fertility. Our study uses data from the General Social Surveys and the Current Population Surveys. We ask whether preferences and intentions for moderate family sizes have eroded with time. The answer is remarkably clear: the dominant American ideals and intentions are for two or three children, and these preferences have persisted across the last three decades. The unusual aggregate correspondence between fertility intentions and behavior in the United States is explained by an apparent offsetting of factors that increase/decrease fertility relative to intentions.     

An investigation of the age of an alleged centenarian

At times, persons have been reported as living to extremely advanced ages such as 130, or even higher (McWhirter and McWhirter, 1977, p. 26; Medvedev, 1974; Merrill, 1976). However, controlled studies of closed groups like Civil War veterans (Myers and Shudde, 1955) have not shown any persons surviving beyond age 110, when age has been reasonably verified. It seems, therefore, highly plausible that reports of extremely advanced ages at death reflect exaggerations of age rather than reality. This note reports a case history which supports this view and illustrates how ages can be verified using available census data.     

Same-Sex Attracted,Not LGBQ: The Associations of Sexual Identity Labeling on Religiousness,Sexuality, and Health Among Mormons

ABSTRACT

In the Church of Jesus Christ of Latter-Day Saints (LDS church), beliefs about same-sex sexual attraction are carefully differentiated from beliefs about same-sex sexual behavior and identity, leading some to reject a lesbian, gay, bisexual, or queer (LGBQ) identity label in favor of declining a sexual identity or describing themselves as experiencing same-sex attraction (SSA). Using data from 1,128 sexual minority Mormons recruited from both politically conservative and liberal circles, we examined the relationship between rejecting an LGBQ identity and religiousness, attitudes toward sexuality, and health outcomes. We found that Mormons who reject an LGBQ identity were significantly more religious and less content with their sexuality but had similar health outcomes relative to LGBQ Mormons. We posit that these differences are best understood by differences in group affiliation and support, intersectional experiences with minority stressors, and the lack of generalizability of LGBQ constructs to those who reject an LGBQ identity.     

RESEARCH NOTE Some evidence against the assumption that approval of family planning is associated with frequency of spouses' discussion of the subject

Much previous work on the relationship between respondent's reported frequency of discussion with spouse about family planning and correctness of reporting spouse's approval of family planning has led to the conclusion that discussion promotes approval. In this paper, data from the 1998 Kenya Demographic and Health Surveys are used to show that a focus on the relationship between frequency of discussion and correctness of reporting partner's disapproval of family planning leads to sceptical conclusions about the effects of discussion in improving knowledge of partner's attitude or in promoting approval.     

Political alienation as a social indicator: Attitudes and action

This paper presents a conceptualization of political alienation as an evaluative orientation toward the political system at the regime level. It then reviews the conceptual status of the most widely used measures of alienation, and concludes that the distinctions among them reflect differences in the attitude object and in the format of the survey questions which make them up. Next the paper reviews trends in attitudes toward American political institutions between 1964 and 1974, demonstrating that the decline in confidence in national leaders was only rarely accompanied by a repudiation of systemic values and processes. These findings are based upon national opinion surveys. The main body of the paper reports on evidence about the relationship between political alienation and political action, drawn from surveys in the San Francisco Bay Area conducted by Berkeley's Survey Research Center in 1972 and 1973. A new Political Alienation Index is used as the attitude measure, and a model is developed to account for alienation's causal influence on participation in unconventional political protest. By the use of multiple regression analysis involving multiplicative terms, it is shown that political alienation interacts with the individual's cognitive and political skills, age, attitudes toward the protest act, and structural opportunities for action to promote protest behavior. Thus the political relevance of rising disaffection from the ongoing order can only be assessed when other characteristics of the alienated and their political context have been established. The Inter University Consortium for Political Research provided access to the University of Michigan's national election surveys. I am grateful to Rober Kahn for permission to reproduce findings from the Bureaucratic Encounter Survey.     

Preposterous Histories

This article explores maternal desire, loss, and control by reading Carolee Schneemann's performance Interior Scroll (1975) through Tracey Emin's photographic print I've Got It All (2000). More specifically, I consider Schneemann's work on the energy of female sexuality and maternal desire through Emin's recurrent visualizations of sexuality and maternal loss. The artists' refusal to disengage with the commodified (dis)pleasures of femininity leads me to consider the differently contextualized handling of these issues in each artwork. I explore the mediation of the body of each artist by positioning Emin's work as a “source” for my reading of Schneemann's performance. Invoking the notion of “preposterous history” (Bal 1999), I argue that the concepts of the “live” and the “mediated” are differently intensified by operating outside of the constraints of chronology. Hence the inter-generational dialogue between these particular female artists, whose work has been produced at different historical moments, is itself generative of thoughts and ideas that are irreducible to the individual works.     

Establishing evaluation indicators on the population knowledge,attitudes, practices and skills (KAPS) of secondary school teachers and students in the Philippines

This study was conducted to establish evaluation indicators to be used as a basis in evaluating the integration of the population education program (POPED) of the Ministry of Education, Culture, and Sports within the Philippine 2ndary school curriculum. Questionnaires were used to determine existing knowledge, attitude, practice and skills (KAPS) of 3,136 high school students and 490 teachers, and data was analyzed for significant relationships between KAPS concerning POPED and demographic characteristics, exposure to population information sources, type of school attended, and exposure to POPED. KAPS and teaching method determine KAPS of the student. Data indicate that 81% of teachers had integrated POPED into the curriculum; only 19% of these had attended training on POPED. 93% utilized a lecture-discussion method in teaching POPED. Knowledge tests given to students and teachers were the same, covering demography, family size, age at marriage, responsible parenthood, use-effectiveness of methods, and population and development. Teachers performed better than students in questions on knowledge; on attitude statements teachers showed a slightly more favorable attitude towards POPED issues, most favorable to responsible parenthood, and least favorable to age at marriage. Mean preferred age at marriage (25) and mean desired number of children (3) was the same for teachers and students; teachers desired wider child spacing than students (3.3 years vs. 2.7 years). 84% of teachers used or wanted to use a family planning method, 76% of students felt they would use a method after marriage. Factors useful in predicting KAPS of teachers and students on POPED are: region of residence, age, sex, educational level, marital status, grade average, type of school, and exposure to various sources of POPED information.     

Gender role identity in a sample of Italian male homosexuals

Gender role is a multifactorial concept, as gender-related attitudes, behaviors, and personality are partially autonomous. The aim of the study was to evaluate the prevalent gender role identity in a sample of male homosexuals. One hundred male homosexuals and 50 male heterosexuals matched for age and sex, have been assessed with the Italian version of the Bem Sex-Role Inventory (BSRI; Bem, 1974). Statistically significant differences have been found between the two groups at the dimensions "Masculine" (z = 1.963; p = 0.001) and "Androgyny" (z = 2.367; p < 0.0001). The results obtained from the present study tend to confirm that homosexuals view themselves as adrogynous individuals, sharing both features of masculine and feminine gender roles.     

Intergenerational reliance on social assistance: Evidence from Canada

This paper provides the first analysis of the intergenerational transmission of participation in a Canadian social assistance program. Two sources of intergenerational transmission are taken into account: one that is due to a possible causal link between parents' and children's participation, and one that is due to a correlation between individual and environment specific characteristics across generations. The basic data come from the Québec government's administrative records and cover 17,203 young people who were 18 years old in 1990 and whose parents were recipients of social assistance during at least one month between 1979 and 1990. The results reveal that, on average, a one-percentage unit increase in parental participation during the youth's pre-adult years (age 7–17) raises the youth's participation rate by 0.29 percentage unit during early adulthood (age 18–21). This impact is stronger during the early stages of childhood (age 7–9) and during late adolescence (age 16–17).     

Hungarian Medical Students’ Knowledge About and Attitude Toward Homosexual,Bisexual, and Transsexual Individuals

ABSTRACT

Discrimination that LGBTQ individuals experience in health care settings might affect their health and intention of using health care services. However, health needs of LGBTQ patients are still inappropriately addressed in the medical curriculum. First-, third-, and fourth-year medical students (N = 569) from the four Hungarian medical universities participated in a study in 2017 to assess knowledge about homosexuality, homonegativity, and their attitude as health care professionals toward sexual minorities. We found that higher levels of knowledge about homosexuality were associated with lower levels of homonegativity, upper-grade level in university, not being religious, and having close LGBTQ acquaintances. Our results suggest that it may be necessary to introduce LGBTQ themes in the medical curricula (not only in Hungary, but also in other countries) in order to improve the knowledge and attitude of medical students and thereby improve the health care of LGBTQ individuals.     

Understanding and Reducing Stress and Psychological Distress in Older Women with Heart Disease

ABSTRACT

Stress and psychological distress were assessed in 457 older women who were subsequently randomized to a six-week heart disease management program (“Women take PRIDE”) or to a “usual care” control group. Baseline distress was significantly associated with age, symptoms, physical functioning, social support, optimism, and self-esteem (p < .05). Only 20% of women reported their physician had recommended reducing stress. At four months follow-up, intervention women compared to controls were significantly more likely to report reductions in stress levels (p = 0.02) and also showed improvement in emotional behavior (p = 0.09).     

Sexuality and HIV/AIDS: An Exploration of Older Heterosexual Women's Knowledge Levels

Sexuality research tends to ignore older populations, and little is known about older women's sexual health knowledge. To fill this research gap, 186 Canadian heterosexual women 50 years and older were surveyed about their knowledge regarding sexuality and HIV/AIDS. Respondents had moderate levels of overall knowledge of sexual health and aging, correctly answering, on average, 60% of the 35 questions. They had lower levels of HIV/AIDS knowledge, correctly answering just over 50% of the 25 questions. Results indicate the need for social awareness and education in this group regarding both general sexual health later in life and HIV/AIDS.     

Objective and subjective indicators: Effects of scale discordance on interrelationships

Researchers in the social indicator movement are increasingly aware of the value of obtaining both subjective and objective measures. At the same time there is a recognition of the need to understand relationships between the types of measures. Studies utilizing both subjective and objective measures indicate that while relationships between them exist, relationships are often not strong. This paper suggests several explanations for such imperfect relationships. One is scale discordance, a term used to recognize that the territorial base of an individual's subjective evaluation may not coincide with the boundaries of the unites used for the collection of objective data. Using data from a metropolitan area study, relationships between objective measures of crime and respondents' feelings of safety are examined for people whose perceptions of neighborhoods vary in size. The hypothesis that the relationship between the objective and subjective measures is stronger among individuals whose view of neighborhood size is in line with the relatively large territorial base for objective crime statistics is tested and found to be correct. Implications of the findings for research and policy making are discussed.     

Importance of fatalism in understanding mammography screening in rural elderly women

This study examined the relationship between demographic factors and other correlates of fatalism, and assessed the impact of fatalistic beliefs on the participation in breast cancer screening in rural women. The subjects were 220 women aged 50 and over recruited from 6 large rural counties in South Carolina. Data were collected using a demographic questionnaire and the revised Powe Fatalism Inventory. Results show significant associations between fatalism and increased age (p = 0.005), race (p = 0.0001), doctor recommendation (p = .0034) and decreased educational level (p = 0.001). Fatalism was associated with noncompliance with mammography screening in univariate analysis among African-American women (OR = .362; 95% CI: 1.11, 11.8). After adjusting for possible confounders (age, education, and doctor recommendation), fatalism was not significantly associated with noncompliance with screening. These results illustrate age, race, and education may be important predictors of fatalism and that fatalism may be one barrier that has previously gone unmeasured and unchallenged in understanding screening behavior in older women.     

“Coming Out” Stories of Gay and Lesbian Young Adults

Gay and lesbian young adults (N = 53) were interviewed about coming out to their parents. Analyses of memory content were conducted. Hypotheses related to disclosure were largely supported. Participants typically first disclosed their sexual orientation to a friend. More participants came out to their mother than their father. When disclosure was made to both parents, mothers were told prior to fathers. Mothers were often told using direct methods, whereas fathers were typically informed using indirect methods. Mothers tended to inquire about their sons' sexuality; mothers inquired less with daughters. Findings are discussed in relation to autobiographical memory, sexuality, and clinical literatures.     

A note on new estimates of the mortality of the extreme aged

This note reports on the utilization of the “extinct generation” method, a procedure that permits a reconstruction of “extinct” population cohorts from the death statistics for a series of years and provides alternative estimates of the mortality of the extreme aged population (persons 85 years of age and over) in the United States during the period 1951–1965. Remarkably close correspondence was found between the annual mortality rates thus derived and figures published by the National Center for Health Statistics. It was concluded that the quality of the mortality rates produced was superior to the official figures but not markedly so. An advantage of the method is the ability to produce rates in detail, such as for five-year age groups, not ordinarily published for the 85 and over population.     

Understanding and reducing stress and psychological distress in older women with heart disease

Stress and psychological distress were assessed in 457 older women who were subsequently randomized to a six-week heart disease management program ("Women take PRIDE") or to a "usual care" control group. Baseline distress was significantly associated with age, symptoms, physical functioning, social support, optimism, and self-esteem (p < .05). Only 20% of women reported their physician had recommended reducing stress. At four months follow-up, intervention women compared to controls were significantly more likely to report reductions in stress levels (p = 0.02) and also showed improvement in emotional behavior (p = 0.09).